Abstract
The trigeminal nerve is one of the peripheral nerves often involved in painful conditions. It supplies the sensory fibers to the entire face and the anterior two-thirds of the head. It is the target of “tic douloureux”, a fascinating disorder, characterized by paroxysmal lancinating pain which is triggered by non-noxious tactile stimulation and which is probably the most tractable chronically painful condition known. Furthermore, along its intra- and extracranial course, the trigeminal nerve is commonly subject to trauma from head injury, tumor, sinus disease, facial trauma, dental procedures and other causes, presenting, like other peripheral nerves, a broad spectrum of associated syndromes of neuropathic pain, often included in the wastebasket diagnosis of “atypical facial pain”. Thus, since the early nineteenth century it has been the object of direct surgical attempts to injure this nerve with the aim of pain relief. Some decades later, it was suggested that a peripheral nerve might be destroyed by injecting a toxic substance into it and Bartholow used chloroform for this in 1876 [11: the dichotomy between open surgery and percutaneous techniques, still debated nowadays, was born. In this chapter techniques, indications and results of trigeminal nerve surgery and block will be described and discussed.
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References
Mullan S, Brown JA (1996) Trigeminal neuralgia. Neurosurgical Q 6: 267–288
Cook WA (1995) The mandibular field and its control with local anaesthetic Mod Dent 22: 11–14
Carter RB, Keen EN (1971) The intramandibular course of the inferior alveolar nerve. J Anat 108: 433–441
Gow-Gates GAE (1973) Mandibular conduction anasthesia: a new technique using extraoral landmarks. Oral Surg Oral Med Oral Pathol 36: 328–331
Dandy WE (1934) Concerning the cause of trigeminal neuralgia. Am J Surg 24: 447–455.
Gardner WJ, Miklos MV (1959) Response of trigeminal neuralgia to “decompression” of sensory root. Discussion of cause of trigeminal neuralgia. JAMA 170: 1773–1776
Jannetta PJ (1967) Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J Neurosurg 26: 159–162
Broggi G, Ferrol,; P, Franzmi A, Servello D, Dones I (1998) Microvascular decompression for trigeminal neuralgia: considerations on a series of 250 cases, including 10 patients with multiple sclerosis. J Neurol Neurosurg Psychiatry (In press)
Barker FG, Jannetta JJ, Bissonette DJ, Larkins MV, Jho HD (1996) The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med 334: 1077–1083
Hartel F (1914) Trigeminusneuralgie and ganglion injection. Med Kim 10. 582–584
Gybels JM, Sweet WH (1989) Neurosurgical treatment of persistent pain Physiological and pathological mechanisms of human pain In: Gildenberg PL (ed) Pain and headache, Vol 11. Karger, Basel, pp 30–40
Sweet WH, Wespic JG (1974) Controlled thermocoagulation of trigeminal ganglion and rootlets for differential distrucnon of pain fibers. J Neurosurg 40:143–156
Broggi G, Siegfried J (1977) The effect of graded thermocoagulation on trigeminal evoked potentials in the cat. Acta Neurochir 24 (Suppl): 175–178
Broggi G, Franzini A, Lasio G, Giorgi C, Servello D (1990) Long-term results of percutaneous retrogassenan thermorhizotomy for “essential” tngeminal neuralgia: considerations in 1000 consecutive patients Neurosurgery 26: 783–787
Hakanson S (1981) Trigeminal neuralgia treated by the injection of glycerol into the trigeminal cistern. Neurosurgery 9: 638–646
Mullan S, Lichtor T (1983) Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia. J Neurosurg 59. 1007–1012
Shelden CH, Pudewz RH, Freshwater DB (1955) Compression rather than decompression for trigeminal neuralgia. J Neurosurg 12: 123–126
Preul MC, Long PB, Brown JA, Velasco ME, Weaver MT (1990) Autonomic and histopathological effects of percutaneous trigeminal ganglion compression in the rabbit. J Neurosurg 72: 933–940
Lobato RD, Rivas JJ, Sarabia R, Lamas E (1990) Percutaneous microcompression of the gassenan ganglion for trigeminal neuralgia J Neurosurg 72: 546–553
Lichtor T, Mullan JF (1990) A 10-year follow-up review of percutaneous microcompression of the trigeminal ganglion. J Neurosurg 72.49–54
Steude U (1984) Radiofrequency electrical stimulation of the gassenan ganglion in patients with atypical trigeminal pain: methods of percutaneous temporary test-stimulation and permanent implantation of stimulation devices. Acta Neurochir 33: S481 - S486
Meyerson BA, Hakanson S (1986) Suppression of pain in trigeminal neuropathy by electrical stimulation of the Gassenan ganglion. Neurosurgery 18: 59–66
Meyerson BA, Hakanson S (1980) Alleviation of atypical trigeminal pain by stimulation of the gassenan ganglion via an inplanted electrode. Acta Neurochir 30: S303 - S309
Schvarcz JR (1979) Stereotactic spinal trigeminal nucleotomy for dysesthetic facial pain. Adv Pain Res Ther 3: 331–336
Nashold BS, Lopes H, Choda Kiewitz J, Bronec P (1986) Trigeminal DREZ for craniofacial pain. In: Samn M (ed) Surgery in and around the brainstem. Springer-Verlag, Berlin Heidelberg New York, pp 53–58
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© 1999 Springer Verlag Italia, Milano
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Broggi, G., Franzini, A., Ferroli, P. (1999). Trigeminal nerve block and surgery. In: Tiengo, M., Paladini, V.A., Rawal, N. (eds) Regional Anaesthesia Analgesia and Pain Management. Topics in Anaesthesia and Critical Care. Springer, Milano. https://doi.org/10.1007/978-88-470-2240-9_15
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DOI: https://doi.org/10.1007/978-88-470-2240-9_15
Publisher Name: Springer, Milano
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